MEDICARE: LABORATORY CORPORATION OF AMERICA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104829159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LABORATORY CORPORATION OF AMERICA

Provider Business Mailing Address
First Line	:	PO BOX 2240
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27216-2240
Country	:	US
Telephone Number	:	800-222-7566
Fax Number	:	336-436-1048

Provider Business Practice Location Address
First Line	:	531 S SPRING ST
Second Line	:
City	:	BURLINGTON
State	:	NC
Zip	:	27215-5866
Country	:	US
Telephone Number	:	800-222-7566
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MRS. KIMBERLY T WILLIAMS
Credential	:
Telephone Number	:	336-436-5402

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	11/07/2017

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Directions to “LABORATORY CORPORATION OF AMERICA ” Practice Location

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